What to Expect From Corneal PhotoVitrification (CPV) for AMD

Chart illustrating healthy and degenerated macula for AMD patients

If you have age-related macular degeneration (AMD), you know how frustrating and limiting vision loss can be. Thankfully, breakthroughs in vision treatments like Corneal Photovitrification (CPV) offer new hope. 

CPV improves vision by redirecting images to healthy parts of your retina, helping you reclaim clearer sight and independence. At the Bochner Eye Institute, renowned eye surgeon Dr. Raymond Stein leads our team in continually striving to help patients see better using innovative technologies, ensuring you get the most advanced care possible.

Understanding How CPV Works

CPV uses a low-energy Clear-K CPV laser to reshape the cornea gently. Dr. Stein uses the laser to treat four microscopic points on the cornea, changing corneal curvature. This redirects light from damaged central areas of your retina to healthier peripheral regions. 

Think of CPV as creating a prism-like effect, moving images away from blind spots to places where your retina still works well. Over time, your brain naturally adapts, further enhancing vision quality through neuroadaptation.

CPV is unique because it’s effective for both wet and dry AMD. Prior to this, there were no treatments for dry AMD, only a supplement regimen. CPV gives patients with dry AMD a true solution at last. 

It’s also very effective in reducing symptoms in patients with wet AMD. You still need injections to help manage your disease and help prevent progression in the long term because they address the structural changes the disease causes within the retina.

Step-by-Step: What to Expect During CPV

Knowing exactly what happens can make you feel confident about CPV treatment. Here’s what the process looks like:

  • You receive anesthetic eye drops 
  • You sit comfortably in a reclining motorized chair
  • Calibrating the laser for your unique eye needs
  • Positioning of a gentle suction device over your eye
  • Positioning of the laser in the middle of the suction device, directly above the eye
  • Application of brief laser pulses to reshape your cornea

No stitches are needed, and the process only takes minutes. After laser treatment, Dr. Stein releases the vacuum. If both eyes require treatment, he repeats the process. 

You can walk out of the room and get back to your life.

Recovery After CPV

CPV recovery is straightforward. You won’t need eye drops or oral medications after the procedure. 

We want to ensure you get the maximum vision improvements from the procedure, so our team schedules follow-ups at one, three, six, and twelve months to closely track your vision changes.

Benefits of CPV

Patients commonly report noticeable vision enhancements, including:

  • Clearer central and peripheral vision
  • Reduced blind spots and fewer wavy lines
  • Enhanced night and color vision

These things make it easier to read, drive, and go about your daily life without vision disruptions. That’s why CPV is often a major quality-of-life upgrade for patients with AMD.

CPV in Toronto, Scarborough, Unionville, and Oakville, ON

Experience clearer vision with the latest treatments for AMD at Bochner Eye Institute. Call our office at 416-960-2020 today to schedule your appointment with Dr. Stein and learn how CPV can improve your eyesight and quality of life.

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Upper vs. Lower Eyelid Blepharoplasty for Tired-Looking Eyes

Eyelid surgery in TorontoEyelid surgery, or blepharoplasty, can help restore a more youthful and refreshed appearance. But should you choose upper or lower eyelid surgery? 

At Bochner Eye Institute, we offer both — and patients often have them at the same time. Our Toronto practice is home to a renowned group of eye specialists, including a cosmetic eyelid surgery specialist with more than two decades of experience.   

Whether you choose upper, lower, or both procedures, our high-level expertise with cosmetic eyelid surgery helps you get beautiful, natural-looking results. 

Upper Eyelid Blepharoplasty  

Upper blepharoplasty removes extra skin and fat that can droop, often causing a perpetually sleepy appearance. In addition, your surgeon tightens the muscles that control eyelid movement. 

Incisions are on the back of the eyelids, in the crease that’s not visible when your eyes are open. That means the small scars are extremely discreet and fade over time.  

This surgery can help open your eyes and make you look more awake and youthful. But for some people, looking tired isn’t their sole concern. If eyelids sag significantly, this heaviness could partially obscure the visual field, but upper blepharoplasty can also correct that issue.  

How Lower Eyelid Blepharoplasty Helps Under-Eye Bags 

Lower blepharoplasty focuses on the undereye area. It corrects bags, puffiness, and dark circles under the eyes and in the tear trough. This procedure removes or redistributes fat pads. Sometimes, it also includes removing excess skin.  

The incision can vary based on the degree of sagging and whether you need to address fat, skin, or both. Your surgeon may make a transconjunctival incision inside the inner lower eyelid for fat pad redistribution and removal alone.  

If you need skin removal too, your surgeon typically uses a subciliary approach incision, with a thin incision along the rim of your lower eyelashes. 

The ultimate result? A smoother contour underneath the eyes.  

In this way, a lower blepharoplasty can help you look youthful and well-rested.  

Should You Have Both Procedures Done Together? 

Many patients who are worried about tired-looking eyes schedule upper and lower blepharoplasty at the same time. You can achieve a complete rejuvenation around the eyes by having both at once.  

There’s just one recovery period, making it far more convenient for most patients versus scheduling the two procedures at different times.  

Eyelid Surgery in Toronto 

Bochner Eye Institute offers expert, patient-centric care and personalized eyelid surgeries in Toronto. Call 416-960-2020 to schedule a consultation today. 

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Yes, Dry AMD is Treatable With an Innovative Corneal Laser

Laser treatment for dry AMD inWet age-related macular degeneration (AMD) has treatment options like intravitreal injections. Those injections aim to return the macula to a “dry” state by decreasing abnormal blood vessel growth and fluid leakage. This can help stabilize vision and prevent further loss. But, when wet AMD is well controlled, patients may need another approach to help improve visual function. 

Historically, patients with dry AMD — a condition that has the potential to progress to wet AMD — haven’t had treatment options other than a supplement regimen.  

The Clear K laser is a groundbreaking approach that can help with both situations. At Bochner Eye Institute in Toronto, ON, we’re proud to be Canada’s first clinical site for the Clear K photovitrification (CPV) treatment.  

As the country’s longest standing and most trusted eye care clinic, we’re recognized as an industry leader in treating AMD and other retinal conditions. The Clear K laser offers hope for patients with dry AMD, improving vision and quality of life by providing a noninvasive solution for managing central vision loss. 

How Does Clear K CPV Work? 

Clear K CPV treatment uses low-energy laser energy to modify the cornea and shift visual images away from blind spots.  

While prism eyeglasses lenses relocate images to one place, this procedure moves them to multiple areas to maximize the chance of stimulating healthy retinal cells. 

In a process called neuroadaptation, your brain adapts to this change and learns to rely on healthy cells. Vision can continue to improve steadily after the procedure.  

Benefits of Clear K CPV for Dry AMD 

Patients with dry AMD can enjoy some remarkable benefits with Clear K CPV treatment, including: 

  • Improved Vision: Can improve central vision, including distance and near vision. Patients have reported improvements in color, peripheral, and night vision, along with the reduction or disappearance of blind spots. 
  • Noninvasive Procedure: Unlike invasive treatments like corneal transplants or implantable prismatic lenses, this laser procedure is noninvasive. It’s the first and only noninvasive option for dry AMD. 
  • Long-Term Results: Vision improvement continues for years, with many patients experiencing stable or enhanced visual acuity over time. The first patients to have the treatment have now experienced more than three years of improvement in vision and quality of life.  

Is Clear K CPV Treatment Right for You? 

Patients with dry AMD, as well as those with Best disease, Stargardt disease, or macular holes that were unsuccessful with previous surgery, may be ideal candidates for this treatment. You may benefit from the Clear K CPV laser treatment if you have a best-corrected visual acuity between 20/60 and 20/800. 

Dry AMD Laser Treatment in Toronto 

Dry AMD now has new hope, thanks to Clear K. At Bochner Eye Institute we can help stabilize and improve your vision, allowing you to regain confidence and improve your daily activities. Call 416-960-2020 in Toronto to book your consultation with our experts.  

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Blind Spots and Difficulty Seeing: What Macular Degeneration Means for Your Vision

Macular degeneration, a leading cause of vision loss for individuals over 50, impacts the central part of the retina known as the macula. This condition affects your ability to see fine details and can lead to significant visual impairment. Dr. Stein is committed to helping patients understand this condition, recognizing symptoms early, and managing their vision health effectively.

Understanding Macular Degeneration

Macular degeneration, or age-related macular degeneration (AMD), occurs in two primary forms: dry and wet. The dry form is characterized by the thinning of the macula as part of the natural aging process and is the most common type. Wet AMD, though less frequent, often leads to more rapid and severe vision loss due to the growth of abnormal blood vessels that damage the macula.

Symptoms and Early Detection

The progression of AMD can be subtle, with symptoms often appearing only in the later stages. Early dry AMD typically presents no symptoms, whereas intermediate stages might include slight blurriness and difficulty seeing in low-light conditions. As the condition advances, symptoms such as blurred vision, wavy or crooked lines, and dark spots in the central vision become more prevalent. Recognizing these signs early is crucial for effective management and treatment.

Diagnosis and Testing

Detecting AMD involves comprehensive eye exams that include tests like the Amsler grid, where patients identify distorted lines, and optical coherence tomography (OCT), which provides detailed images of the retina. These diagnostic tools help identify the presence of AMD before significant vision loss occurs.

Managing and Treating Macular Degeneration

While there is no cure for AMD, early intervention can slow its progression. Treatment options vary depending on the type and stage of the disease. Nutritional supplements are recommended to help slow the progression of dry AMD. For wet AMD, treatments may include anti-VEGF injections that help reduce abnormal blood vessel growth, potentially stabilizing and sometimes improving vision.

Photodynamic therapy and laser treatments are also used in certain cases to manage symptoms and slow deterioration. These treatments, combined with lifestyle adjustments such as maintaining a healthy diet rich in green leafy vegetables and fish, not smoking, and managing blood pressure and cholesterol, can all contribute to better disease management.

Prioritize Your Eye Health

Macular degeneration presents significant challenges, but understanding the signs and obtaining an early diagnosis can greatly impact the effectiveness of treatments. Regular eye exams are essential for those at risk. Dr. Stein emphasizes the importance of patient education and proactive management strategies to help maintain vision and quality of life. Contact us today to schedule a consultation.

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Not Eligible for LASIK? Achieve Clear Vision with These Options

LASIK in ScarboroughLASIK is a laser eye surgery that is effective at correcting refractive errors such as nearsightedness. Not everyone is a good candidate for this procedure; fortunately, there are options available to patients that will still allow them to achieve the clear vision they desire. When it comes to eye care, safety, ideal outcomes, and improvements in the patient’s quality of life are a few of Dr. Stein’s main priorities. He has performed thousands of laser vision correction surgeries and is committed to delivering excellent results. Continue reading to learn more about your options for improving your vision.

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Is it Possible to Prevent Glaucoma?

Glaucoma treatment Toronto Known as the silent thief of sight, glaucoma gradually damages the eye, typically before any warning signs are recognized. Many individuals experience vision loss or impairment due to glaucoma, and it is one of the leading causes of blindness worldwide. Prevention is key when it comes to this serious eye condition. Ahead, Dr. Stein shares important information about what you can do to preserve your vision.

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Eye Surgery Options for Blurry Near Vision Caused by Presbyopia

blurry vision treatment TorontoOver time, you may experience progressive difficulty focusing on objects up close. This may initially begin with issues reading small print at close distances; in fact, you may notice that you must hold books and newspapers at arm’s length in order to read them. This gradual loss of the eye’s ability to focus is known as presbyopia. Glasses and contacts can address the issue, but surgery — either refractive lens exchange or monovision LASIK— is often an ideal solution for presbyopia. Continue reading to learn more about surgical options for blurry near vision. Continue reading

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Who Is Most Likely To Get Age-Related Macular Degeneration? Three Risk Factors

Macular degeneration risk factors, TorontoIs your central field of vision becoming blurry, but your peripheral vision remains normal? If you’re older, the culprit is possibly age-related macular degeneration (AMD). Dr. Raymond Stein, the Medical Director of the Bochner Eye Institute and Professor of Ophthalmology and Vision Sciences at the University of Toronto, discusses the top age-related macular degeneration risk factors. Continue reading

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Why Laser Cataract Surgery May Offer Better Visual Outcomes

laser cataract surgery toronto

Cataract surgery is a highly successful procedure, whether performed traditionally or with the laser-assisted technique. Laser cataract surgery does have some benefits over the conventional option. Our Toronto eye surgeon, Dr. Raymond Stein, can help determine which cataract surgery is best for you, your vision and your finances. 

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3 Misunderstood Myths About Cataracts As You Age

Cataracts Toronto, ON

Cataracts are one of the leading causes of vision loss and blindness worldwide. This eye disease affects most adults by the time they reach their mid-70s, but it is highly curable through cataract surgery. At Bochner Eye Institute, Dr. Raymond Stein has helped many people eliminate cataracts and improve their vision with intraocular lens implants (IOL). There have been many myths about cataracts throughout the centuries when doctors were still using medieval methods to remove the clouded lens or push it out of the field of vision. Some of these misconceptions continue today.

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